Individual
KURT L LEINWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 529-1284
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP00002201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274580
—
OR
05
—
8484743
—
WA
01
—
P00431714
RAILROAD MEDICARE
WA
Enumeration date
02/13/2007
Last updated
01/21/2008
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